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1111111PPPP.P,1PP,26a GER(ARD HOMES INC <br />rtu,-2121-2001 99: ale t IFS s= I t,;Rl-AC 1 AL <br />Apprpvad oY State Board OT AC ,ts, 2at <br />Prescr(bed by the Seale Board of Tow Conrnlssloners. 1999 <br />Pumumnt to tC 15-1.15.5 <br />Flrak narne(s) <br />pddtees (number errtr arroarr <br />2369A STATE ROAD 23 <br />r�ttl. Tarn or old0lliaw_ _ ._-. <br />nant-(5) <br />Addrac9 (number anff —f) <br />C1ty, Town a Pell Oftlde <br />MiSMA W AKA <br />Send to, bltie and nobcas to We addr65A7 <br />6troot rddrsaa <br />23 <br />C,lv_ 7 Pornaw` PC- <br />219 258 7959 <br />3192556108 t'•e�'�j <br />PE?PPER)NwU SIT <br />Prknsty Tvslde�o7 <br />0 Yes ®No <br />�—�--- �� ZIP code <br />IN e <br />...._. Last name(s) <br />PlyttatY resldes>m7 <br />Q Yea Na <br />Sul- ZtP ob6i <br />rand sAeer. aa. seals, DPm�) <br />tl tm, prrwide rrtal[Crg ad�ess (tilt <br />Style Zif? code <br />IN 46614 <br />Cpt Carvoratton N-r <br />7F. hip SBCSC 7205 <br />County �r n.r i.r.�. - <br />ST SOSEPH icdarts on r7tfrarae ��) <br />�cr1MPT TRANf3ACT1ONt3 (aN lrtdar ) <br />c the rruenbar of Ilti a <Gmptror, [soG aide <br />amPf Ta ars.,tjo" on re rer�a <br />t:�rrrpt;rsr�laWon7 k yes, ape u7/ <br />d Yes 0 No <br />SALES 1NFORMATION _ <br />1. Total apkell price § 21 <br />DATE OF SALE 2. Seiler aicl P01nm <br />_ YSeiler p <br />P.5 <br />8 0 9 2 p 0 1 <br />�. lllet tis>ili8 price (l(ne 1 mbw6 lino 2) $ 21,000 00 <br />0 to thds aa1+. <br />Chsakr ALL or the following oandttkuV OW1 IIppry Q lee diner real property (?rodo� <br />is Vacanl lend <br />sTran6ter of ev"c pa®! 0 Purchase al adpining land 0 Spet(s) <br />Q Mab4te n omo O Gonda ntntum <br />0 Seller prvrbed flnandeg lnduded h 4ant.ler (Eoimalfo vewo i—_1) <br />ry[rreen buyer and saner O ��� prv�nY <br />0 n letanco of tarnity or —htesa relmt ary 1p -- ptsts awngrthfP IntarriL and <br />Deacrt>y any unLmual or aPec 1a1 Gr.Wmtsncer related to Vtia *ails, Includltg tl+s ap ac[ft6aclart of ar*Y {esa.iteart�rnt <br />the toners -t cry Geller flnan taQ- <br />C.rmW Audlaor rrrwt -wrWY and —"'-'he ►euarAng IrAo. -tion: 0$-[035 Ik>4821 <br />Q Saks prim <br />wParcei r Key numb <br />O Bayer end SCOW Inforrrta curt <br />O Addro:s or Vans:G reed QCorsdil iana of sale <br />t] scho(4 oorporatlrxt INLWnber <br />Vro�y <br />❑ Warn my dwld7 0 YES O ND <br />m Daw of saleMansW <br />Ca rttro Aruasor must verify and canrpNsa the fetk vMrt g trAorrryatlon*, •••'•••.•••� <br />❑ SlDrrltltrnt phyatot ehangwa to property Mtween March t and date er eala AV LAND 5 <br />or <br />urrrnt propsny rocord c" aaadTGd AV rMPF.OVEMr=NT(S) S <br />M Propany data r usa Code — <br />AV TOTAL f <br />ore are required to III& mks swm and wiser In wri tna rA +rrdrr lice ponaltin1 of periwy Watttte [rTiorn+stfon Corillnsd <br />Tho parties 10 a real property rnrrvsYs oo"Wr-" a Claw A w4noctlon. <br />tre[dn b (!u0 aM mrr>aC. A peraara yrbe ta,QirrrWy and Irder.faorratry tslsfhes ar arnt4 a-y Into rnvtlon rv4atrid on Vtb ft�frr� <br />U rrdar psea[tfva of perSury. 1 flGtebl [�rUfy lhrt titYa Sates Dbclo�urs, to Itr hest Of my kr*dwlidfl <br />• and roallef. IN trw, corr.ct ■nd cnrnpret• ea r♦yyl nrd <br />by raw, and rs nn.famrvd trn accerdancs wait lC 1-6. S. -gaat Property 'lalas Olac4ltury Act-' <br />Sign n e <br />Tc{canore nun#er [)YM signed (manta, day, y.or) <br />2 t 9-2119--4223 0 ft&9/0 i <br />Talephora number Dafo s(gnvd (rrtart[n, 6-Y, Yvar7 <br />Siprts or � eeGn�lt p^ve � � 2' 9-259-5054 OSl09/O 1 <br />TOTAL P. 03 <br />